Individual
KEVIN CLEVELAND GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401019001
LLPC
MI
Enumeration date
08/26/2014
Last updated
03/17/2022
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